Autism screening at 18 months of age: a comparison of the Q-CHAT-10 and M-CHAT screeners / R. STURNER in Molecular Autism, 13 (2022)  

Public ISBD [article]  inMolecular Autism > 13 (2022) . - 2p. Titre : Autism screening at 18 months of age: a comparison of the Q-CHAT-10 and M-CHAT screeners Type de document : texte imprimé Auteurs : R. STURNER, Auteur ; B. HOWARD, Auteur ; P. BERGMANN, Auteur ; Shana M. ATTAR, Auteur ; L. STEWART-ARTZ, Auteur ; K. BET, Auteur ; Carrie ALLISON, Auteur ; Simon BARON-COHEN, Auteur Article en page(s) : 2p. Langues : Anglais (eng) Mots-clés : Autism screening  Developmental screening  M-chat  Q-CHAT  Primary Care and its for-profit subsidiary,  CHADIS, Inc. CHADIS, the web-tool used  in the study was developed by Dr. Sturner and his spouse, Dr. Howard. Dr. Sturner is  Director of the Center and Dr. Howard is President of CHADIS, Inc. Both are members  of the Board of Directors of Center and are paid employees or consultants to both  entities. The other authors have indicated they have no financial relationships  relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism screening is recommended at 18- and 24-month pediatric well visits. The Modified Checklist for Autism in Toddlers-Revised (M-CHAT-R) authors recommend a follow-up interview (M-CHAT-R/F) when positive. M-CHAT-R/F may be less accurate for 18-month-olds than 24-month-olds and accuracy for identification prior to two years is not known in samples that include children screening negative. Since autism symptoms may emerge gradually, ordinally scoring items based on the full range of response options, such as in the 10-item version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT-10), might better capture autism signs than the dichotomous (i.e., yes/no) items in M-CHAT-R or the pass/fail scoring of Q-CHAT-10 items. The aims of this study were to determine and compare the accuracy of the M-CHAT-R/F and the Q-CHAT-10 and to describe the accuracy of the ordinally scored Q-CHAT-10 (Q-CHAT-10-O) for predicting autism in a sample of children who were screened at 18 months. METHODS: This is a community pediatrics validation study with screen positive (n = 167) and age- and practice-matched screen negative children (n = 241) recruited for diagnostic evaluations completed prior to 2 years old. Clinical diagnosis of autism was based on results of in-person diagnostic autism evaluations by research reliable testers blind to screening results and using the Autism Diagnostic Observation Schedule-Second Edition (ADOS-2) Toddler Module and Mullen Scales of Early Learning (MSEL) per standard guidelines. RESULTS: While the M-CHAT-R/F had higher specificity and PPV compared to M-CHAT-R, Q-CHAT-10-O showed higher sensitivity than M-CHAT-R/F and Q-CHAT-10. LIMITATIONS: Many parents declined participation and the sample is over-represented by higher educated parents. Results cannot be extended to older ages. CONCLUSIONS: Limitations of the currently recommended two-stage M-CHAT-R/F at the 18-month visit include low sensitivity with minimal balancing benefit of improved PPV from the follow-up interview. Ordinal, rather than dichotomous, scoring of autism screening items appears to be beneficial at this age. The Q-CHAT-10-O with ordinal scoring shows advantages to M-CHAT-R/F with half the number of items, no requirement for a follow-up interview, and improved sensitivity. Yet, Q-CHAT-10-O sensitivity is less than M-CHAT-R (without follow-up) and specificity is less than the two-stage procedure. Such limitations are consistent with recognition that screening needs to recur beyond this age. En ligne : http://dx.doi.org/10.1186/s13229-021-00480-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459 [article] Autism screening at 18 months of age: a comparison of the Q-CHAT-10 and M-CHAT screeners [texte imprimé] / R. STURNER, Auteur ; B. HOWARD, Auteur ; P. BERGMANN, Auteur ; Shana M. ATTAR, Auteur ; L. STEWART-ARTZ, Auteur ; K. BET, Auteur ; Carrie ALLISON, Auteur ; Simon BARON-COHEN, Auteur . - 2p. Langues : Anglais (eng) in Molecular Autism > 13 (2022) . - 2p. Mots-clés : Autism screening  Developmental screening  M-chat  Q-CHAT  Primary Care and its for-profit subsidiary,  CHADIS, Inc. CHADIS, the web-tool used  in the study was developed by Dr. Sturner and his spouse, Dr. Howard. Dr. Sturner is  Director of the Center and Dr. Howard is President of CHADIS, Inc. Both are members  of the Board of Directors of Center and are paid employees or consultants to both  entities. The other authors have indicated they have no financial relationships  relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism screening is recommended at 18- and 24-month pediatric well visits. The Modified Checklist for Autism in Toddlers-Revised (M-CHAT-R) authors recommend a follow-up interview (M-CHAT-R/F) when positive. M-CHAT-R/F may be less accurate for 18-month-olds than 24-month-olds and accuracy for identification prior to two years is not known in samples that include children screening negative. Since autism symptoms may emerge gradually, ordinally scoring items based on the full range of response options, such as in the 10-item version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT-10), might better capture autism signs than the dichotomous (i.e., yes/no) items in M-CHAT-R or the pass/fail scoring of Q-CHAT-10 items. The aims of this study were to determine and compare the accuracy of the M-CHAT-R/F and the Q-CHAT-10 and to describe the accuracy of the ordinally scored Q-CHAT-10 (Q-CHAT-10-O) for predicting autism in a sample of children who were screened at 18 months. METHODS: This is a community pediatrics validation study with screen positive (n = 167) and age- and practice-matched screen negative children (n = 241) recruited for diagnostic evaluations completed prior to 2 years old. Clinical diagnosis of autism was based on results of in-person diagnostic autism evaluations by research reliable testers blind to screening results and using the Autism Diagnostic Observation Schedule-Second Edition (ADOS-2) Toddler Module and Mullen Scales of Early Learning (MSEL) per standard guidelines. RESULTS: While the M-CHAT-R/F had higher specificity and PPV compared to M-CHAT-R, Q-CHAT-10-O showed higher sensitivity than M-CHAT-R/F and Q-CHAT-10. LIMITATIONS: Many parents declined participation and the sample is over-represented by higher educated parents. Results cannot be extended to older ages. CONCLUSIONS: Limitations of the currently recommended two-stage M-CHAT-R/F at the 18-month visit include low sensitivity with minimal balancing benefit of improved PPV from the follow-up interview. Ordinal, rather than dichotomous, scoring of autism screening items appears to be beneficial at this age. The Q-CHAT-10-O with ordinal scoring shows advantages to M-CHAT-R/F with half the number of items, no requirement for a follow-up interview, and improved sensitivity. Yet, Q-CHAT-10-O sensitivity is less than M-CHAT-R (without follow-up) and specificity is less than the two-stage procedure. Such limitations are consistent with recognition that screening needs to recur beyond this age. En ligne : http://dx.doi.org/10.1186/s13229-021-00480-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459

Brief Report: Perceptions of Family-Centered Care Across Service Delivery Systems and Types of Caregiver Concerns About Their Toddlers' Development / Catherine C. DICK in Journal of Autism and Developmental Disorders, 52-9 (September 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.4181-4190 Titre : Brief Report: Perceptions of Family-Centered Care Across Service Delivery Systems and Types of Caregiver Concerns About Their Toddlers' Development Type de document : texte imprimé Auteurs : Catherine C. DICK, Auteur ; Lisa V. IBAÑEZ, Auteur ; Trent D. DESCHAMPS, Auteur ; Shana M. ATTAR, Auteur ; Wendy L. STONE, Auteur Article en page(s) : p.4181-4190 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Caregivers  Child, Preschool  Early Intervention, Educational  Family  Humans  Patient-Centered Care  Autism concerns  Autism spectrum disorder  Caregiver experiences  Early intervention  Family-centered care  Primary care  Service delivery Index. décimale : PER Périodiques Résumé : Family-centered care represents a collaborative partnership between caregivers and service providers, and is associated with positive caregiver and child outcomes. This approach may be especially important for caregivers with early concerns about autism, as service providers are often the gateway to appropriately-specialized intervention. Perceptions of family-centered care received from primary care providers (PCPs) and Part C Early Intervention (EI) providers were rated by two groups of caregivers: those concerned about autism (n=37) and those concerned about another developmental problem (n=22), using the Measure of Processes of Care (MPOC-20). Ratings did not differ across caregiver groups, but both groups rated EI providers significantly higher than PCPs, which may reflect systems-level differences between primary care and EI. En ligne : http://dx.doi.org/10.1007/s10803-021-05248-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486 [article] Brief Report: Perceptions of Family-Centered Care Across Service Delivery Systems and Types of Caregiver Concerns About Their Toddlers' Development [texte imprimé] / Catherine C. DICK, Auteur ; Lisa V. IBAÑEZ, Auteur ; Trent D. DESCHAMPS, Auteur ; Shana M. ATTAR, Auteur ; Wendy L. STONE, Auteur . - p.4181-4190. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.4181-4190 Mots-clés : Autism Spectrum Disorder  Caregivers  Child, Preschool  Early Intervention, Educational  Family  Humans  Patient-Centered Care  Autism concerns  Autism spectrum disorder  Caregiver experiences  Early intervention  Family-centered care  Primary care  Service delivery Index. décimale : PER Périodiques Résumé : Family-centered care represents a collaborative partnership between caregivers and service providers, and is associated with positive caregiver and child outcomes. This approach may be especially important for caregivers with early concerns about autism, as service providers are often the gateway to appropriately-specialized intervention. Perceptions of family-centered care received from primary care providers (PCPs) and Part C Early Intervention (EI) providers were rated by two groups of caregivers: those concerned about autism (n=37) and those concerned about another developmental problem (n=22), using the Measure of Processes of Care (MPOC-20). Ratings did not differ across caregiver groups, but both groups rated EI providers significantly higher than PCPs, which may reflect systems-level differences between primary care and EI. En ligne : http://dx.doi.org/10.1007/s10803-021-05248-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486

Characterizing Available Tools for Synchronous Virtual Assessment of Toddlers with Suspected Autism Spectrum Disorder: A Brief Report / Natalie I. BERGER in Journal of Autism and Developmental Disorders, 52-1 (January 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.423-434 Titre : Characterizing Available Tools for Synchronous Virtual Assessment of Toddlers with Suspected Autism Spectrum Disorder: A Brief Report Type de document : texte imprimé Auteurs : Natalie I. BERGER, Auteur ; Allison L. WAINER, Auteur ; J. KUHN, Auteur ; Karen E. BEARSS, Auteur ; Shana M. ATTAR, Auteur ; Alice S. CARTER, Auteur ; L. V. IBANEZ, Auteur ; Brooke R. INGERSOLL, Auteur ; H. NEIDERMAN, Auteur ; S. SCOTT, Auteur ; W. L. STONE, Auteur Article en page(s) : p.423-434 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis/epidemiology  Covid-19  Caregivers  Child, Preschool  Humans  Pandemics  SARS-CoV-2  Assessment  Autism  Autism spectrum disorder (ASD)  Diagnosis  Remote assessment  Telehealth  Toddlers  Virtual Index. décimale : PER Périodiques Résumé : The COVID-19 pandemic, and associated social distancing mandates, has placed significant limitations on in-person health services, requiring creative solutions for supporting clinicians engaged in the diagnosis of autism spectrum disorder (ASD). This report describes the five virtual instruments available at the time of manuscript development for use by experienced clinicians making diagnostic determinations of ASD for toddlers across the 12- to 36-months age range. We focus on synchronous virtual assessments in which clinicians guide the child's caregiver through a range of assessment activities and observe spontaneous and elicited behaviors. Assessments are compared on dimensions of targeted behavioral domains, specific activities and presses employed, scoring approaches, and other key logistical considerations to guide instrument selection for use in varied clinical and research contexts. En ligne : http://dx.doi.org/10.1007/s10803-021-04911-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 [article] Characterizing Available Tools for Synchronous Virtual Assessment of Toddlers with Suspected Autism Spectrum Disorder: A Brief Report [texte imprimé] / Natalie I. BERGER, Auteur ; Allison L. WAINER, Auteur ; J. KUHN, Auteur ; Karen E. BEARSS, Auteur ; Shana M. ATTAR, Auteur ; Alice S. CARTER, Auteur ; L. V. IBANEZ, Auteur ; Brooke R. INGERSOLL, Auteur ; H. NEIDERMAN, Auteur ; S. SCOTT, Auteur ; W. L. STONE, Auteur . - p.423-434. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.423-434 Mots-clés : Autism Spectrum Disorder/diagnosis/epidemiology  Covid-19  Caregivers  Child, Preschool  Humans  Pandemics  SARS-CoV-2  Assessment  Autism  Autism spectrum disorder (ASD)  Diagnosis  Remote assessment  Telehealth  Toddlers  Virtual Index. décimale : PER Périodiques Résumé : The COVID-19 pandemic, and associated social distancing mandates, has placed significant limitations on in-person health services, requiring creative solutions for supporting clinicians engaged in the diagnosis of autism spectrum disorder (ASD). This report describes the five virtual instruments available at the time of manuscript development for use by experienced clinicians making diagnostic determinations of ASD for toddlers across the 12- to 36-months age range. We focus on synchronous virtual assessments in which clinicians guide the child's caregiver through a range of assessment activities and observe spontaneous and elicited behaviors. Assessments are compared on dimensions of targeted behavioral domains, specific activities and presses employed, scoring approaches, and other key logistical considerations to guide instrument selection for use in varied clinical and research contexts. En ligne : http://dx.doi.org/10.1007/s10803-021-04911-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455

Co-designing a novel service delivery pathway to increase access to autism identification and care within a non-profit community organization serving culturally and linguistically diverse families / Shana M. ATTAR in Autism, 29-8 (August 2025)  

Public ISBD [article]  inAutism > 29-8 (August 2025) . - p.2097-2110 Titre : Co-designing a novel service delivery pathway to increase access to autism identification and care within a non-profit community organization serving culturally and linguistically diverse families Type de document : texte imprimé Auteurs : Shana M. ATTAR, Auteur ; Hannah R. BENAVIDEZ, Auteur ; Carol GICHERU, Auteur ; Colleen ALABI, Auteur ; Risho SAPANO, Auteur ; Wendy L STONE, Auteur Article en page(s) : p.2097-2110 Langues : Anglais (eng) Mots-clés : autism  co-design  community-based  developmental delay  diversity  early intervention  healthcare access  multilingual Index. décimale : PER Périodiques Résumé : Culturally and linguistically diverse families experience greater challenges accessing timely, autism-specialized care relative to non-culturally and linguistically diverse families, and ultimately experience less optimal health outcomes. Alternative pathways to access autism care for culturally and linguistically diverse families are needed; however, the features of a novel pathway remain unclear. A co-design process was used with a culturally embedded non-profit community organization to develop a novel service delivery pathway for increasing access to autism services for culturally and linguistically diverse families in the United States. Twenty-three individuals participated in eight, 2-hour co-design sessions. Participants included front-line staff (seven non-specialist providers), management leaders (two program supervisors and two organization directors), and eight end-users (caregivers) from seven understudied cultural and linguistic groups (i.e. Somali Mai Mai, Swahili, Arabic, Dari/Pashto, French, Amharic, and Tigrinya) and four autism specialists. The co-design identified five key design features: respecting diversity, prioritizing caregiver agency, increasing accessibility, minimizing stigma, and maximizing feasibility. These features informed the co-development of a novel pathway to access autism identification and care for culturally and linguistically diverse families that pairs navigation services with the dissemination of brief, culturally sensitive, and evidence-based parenting and coping strategies. This power-sharing, community-academic partnership may serve as a model for improving equity in autism care.Lay Abstract Early, specialized support is important for helping young autistic children learn and develop. However, families from different cultural backgrounds often find it challenging to access this early help. A university lab and a community organization worked together to create a new way for these families to access autism services. We used a co-design approach, which involves gathering feedback from a variety of people involved in autism care, including service providers, community leaders, caregivers, and autism experts. Twenty-three individuals participated in eight co-design sessions that were two?hours each. Participants were from different language groups, including Somali Mai Mai, Swahili, Arabic, Dari/Pashto, French, Amharic, and Tigrinya. These sessions helped us identify five important factors important for improving access to needed services: being mindful about cultural differences between groups, empowering caregivers, providing information and support for accessing services, reducing stigma around autism, and ensuring the service is practical to use. Based on these factors, we developed a new pathway for families to access autism care. This new approach includes providing help in navigating the medical and educational systems and provides short, culturally appropriate advice for parenting and coping. This project shows how working together with communities can create more fair and effective ways to provide autism support. En ligne : https://journals.sagepub.com/doi/abs/10.1177/13623613251335702 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=564 [article] Co-designing a novel service delivery pathway to increase access to autism identification and care within a non-profit community organization serving culturally and linguistically diverse families [texte imprimé] / Shana M. ATTAR, Auteur ; Hannah R. BENAVIDEZ, Auteur ; Carol GICHERU, Auteur ; Colleen ALABI, Auteur ; Risho SAPANO, Auteur ; Wendy L STONE, Auteur . - p.2097-2110. Langues : Anglais (eng) in Autism > 29-8 (August 2025) . - p.2097-2110 Mots-clés : autism  co-design  community-based  developmental delay  diversity  early intervention  healthcare access  multilingual Index. décimale : PER Périodiques Résumé : Culturally and linguistically diverse families experience greater challenges accessing timely, autism-specialized care relative to non-culturally and linguistically diverse families, and ultimately experience less optimal health outcomes. Alternative pathways to access autism care for culturally and linguistically diverse families are needed; however, the features of a novel pathway remain unclear. A co-design process was used with a culturally embedded non-profit community organization to develop a novel service delivery pathway for increasing access to autism services for culturally and linguistically diverse families in the United States. Twenty-three individuals participated in eight, 2-hour co-design sessions. Participants included front-line staff (seven non-specialist providers), management leaders (two program supervisors and two organization directors), and eight end-users (caregivers) from seven understudied cultural and linguistic groups (i.e. Somali Mai Mai, Swahili, Arabic, Dari/Pashto, French, Amharic, and Tigrinya) and four autism specialists. The co-design identified five key design features: respecting diversity, prioritizing caregiver agency, increasing accessibility, minimizing stigma, and maximizing feasibility. These features informed the co-development of a novel pathway to access autism identification and care for culturally and linguistically diverse families that pairs navigation services with the dissemination of brief, culturally sensitive, and evidence-based parenting and coping strategies. This power-sharing, community-academic partnership may serve as a model for improving equity in autism care.Lay Abstract Early, specialized support is important for helping young autistic children learn and develop. However, families from different cultural backgrounds often find it challenging to access this early help. A university lab and a community organization worked together to create a new way for these families to access autism services. We used a co-design approach, which involves gathering feedback from a variety of people involved in autism care, including service providers, community leaders, caregivers, and autism experts. Twenty-three individuals participated in eight co-design sessions that were two?hours each. Participants were from different language groups, including Somali Mai Mai, Swahili, Arabic, Dari/Pashto, French, Amharic, and Tigrinya. These sessions helped us identify five important factors important for improving access to needed services: being mindful about cultural differences between groups, empowering caregivers, providing information and support for accessing services, reducing stigma around autism, and ensuring the service is practical to use. Based on these factors, we developed a new pathway for families to access autism care. This new approach includes providing help in navigating the medical and educational systems and provides short, culturally appropriate advice for parenting and coping. This project shows how working together with communities can create more fair and effective ways to provide autism support. En ligne : https://journals.sagepub.com/doi/abs/10.1177/13623613251335702 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=564

Do Autism-Specific and General Developmental Screens Have Complementary Clinical Value? / Raymond STURNER in Journal of Autism and Developmental Disorders, 53-8 (August 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-8 (August 2023) . - p.3065-3076 Titre : Do Autism-Specific and General Developmental Screens Have Complementary Clinical Value? Type de document : texte imprimé Auteurs : Raymond STURNER, Auteur ; Paul BERGMANN, Auteur ; Barbara HOWARD, Auteur ; Kerry BET, Auteur ; Lydia STEWART-ARTZ, Auteur ; Shana M. ATTAR, Auteur Article en page(s) : p.3065-3076 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Prior studies suggest autism-specific and general developmental screens are complementary for identifying both autism and developmental delay (DD). Parents completed autism and developmental screens before 18-month visits. Children with failed screens for autism (n 167) and age, gender, and practice-matched children passing screens (n 241) completed diagnostic evaluations for autism and developmental delay. When referral for autism and/or DD was considered, overall false positives from the autism screens were less frequent than for referral for autism alone. Presence of a failed communication subscale in the developmental screen was a red flag for autism and/or DD. An ordinally-scored autism screen had more favorable characteristics when considering autism and/or DD, yet none of the screens achieved recommended standards at 18 months, reinforcing the need for recurrent screening as autism emerges in early development. En ligne : https://doi.org/10.1007/s10803-022-05541-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508 [article] Do Autism-Specific and General Developmental Screens Have Complementary Clinical Value? [texte imprimé] / Raymond STURNER, Auteur ; Paul BERGMANN, Auteur ; Barbara HOWARD, Auteur ; Kerry BET, Auteur ; Lydia STEWART-ARTZ, Auteur ; Shana M. ATTAR, Auteur . - p.3065-3076. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-8 (August 2023) . - p.3065-3076 Index. décimale : PER Périodiques Résumé : Prior studies suggest autism-specific and general developmental screens are complementary for identifying both autism and developmental delay (DD). Parents completed autism and developmental screens before 18-month visits. Children with failed screens for autism (n 167) and age, gender, and practice-matched children passing screens (n 241) completed diagnostic evaluations for autism and developmental delay. When referral for autism and/or DD was considered, overall false positives from the autism screens were less frequent than for referral for autism alone. Presence of a failed communication subscale in the developmental screen was a red flag for autism and/or DD. An ordinally-scored autism screen had more favorable characteristics when considering autism and/or DD, yet none of the screens achieved recommended standards at 18 months, reinforcing the need for recurrent screening as autism emerges in early development. En ligne : https://doi.org/10.1007/s10803-022-05541-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508

Separate scoring algorithms for specific identification priorities optimize the screening properties of the Screening Tool for Autism in Toddlers (STAT) / Shana M. ATTAR in Autism Research, 15-11 (November 2022)  

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The implementation of the screening tool for autism in toddlers in Part C early intervention programs: An 18-month follow-up / Daina M. TAGAVI in Autism, 27-1 (January 2023)  

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